6th Edition of FICCI Road Safety Awards and Conclave
Last Date :10 July 2024

Registration Form
Fee per Nomination: INR 10000/- plus 18% GST (INR 11800/-)
Note:

  • There is additional 10% discount for FICCI Members only.


  FICCI Members
  Non-Member       
Title*First Name*Last Name* 
Designation* 
Mobile*  
Email*  
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Organisation * 
Mailing Address *  Max 50 characters allowed
Country * 
State / UT  
State should be same as used for GSTN
City * 
Pin/Zip/Postal Code * 
Do you have a registered GSTN
Please provide GST No. (If Applicable) Provided GSTN should be issued at same state as selected above.
Telephone  
Website



Note:
  • There will be no auto charge back and no refund under any case/ circumstances once the payment is done.